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The scale measuring self-efficacy regarding condom use consisted of three statements addressing whether a participant could persuade a client to use a condom when a client had refused to do so during a previous sexual encounter, whether she could refuse sex when a client refused to use a condom, and whether she could insist on using a condom with clients every time. China girls who are not in the pay for play scene will not even look at your direction for a Prostitutes Xinzhou period of time.

However, we believe that the relatively large sample size and relatively high prevalence of oral sex during the previous month among our participants could guarantee Prostitutes Xinzhou generalizability of our study findings, and the comparability between Prostitutes Xinzhou results of this study and other related literature.

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Another reason for the incomparability of the prevalence of oral sex between this study and other related studies is Prostitutes Xinzhou these studies were conducted in different years following a revolution in sexual practices in China sinceand the subsequent dramatic increase in sexual behaviors traditionally adopted by few common people in China, such as oral and anal sex [ 19 ].

Prostitutes Xinzhou speculate that the prevalence of oral sex among FSWs might also have increased quickly due to this trend in these years. The amazing rise in prevalence of oral sex among FSWs, with a concomitant increase in pharyngeal gonorrhea, has been reported Prostitutes Xinzhou Singapore [ 28 ], pointing to the importance of this study. Our study found that 2. The income of those Prostitutes Xinzhou FSWs who practice oral sex is lower than those not performing oral sex in our study, implying that the economic situation Prostitutes Xinzhou oral sex practitioners might be worse than that of other low-tier FSWs.

Prostitutes Xinzhou were highly mobile, with reasons for changing residence and working locations most commonly related to increasing income. FSWs working in higher risk venues where they charge less have many characteristics in common with Prostitutes Xinzhou positive and Prostitutes Xinzhou using FSWs, who have been found to be more mobile than those from other establishments [ 11 ]. Our results indicate a significant association between occurrence of oral sex and longer duration of sex work.

Prolonged length of sex work might increase the likelihood of oral sex; however, longer duration of sex Prostitutes Xinzhou is an independent risk factor for STIs [ 32 ] and HIV infection [ 33 ].

We further Prostitutes Xinzhou the difference between those FSWs who engaged in commercial sex for 1—12 months and those who have practiced for over 12 months, and Prostitutes Xinzhou that FSWs who had been engaged in sex work for a long duration were more likely to have had Prostitutes Xinzhou 15 sexual clients We found that those who practiced oral sex were more likely to report ever Prostitutes Xinzhou been diagnosed with an STI among Prostitutes Xinzhou who had seen a doctor during the previous half year in the bivariate analysis.

This study provides further evidence that oral sex practitioners are more likely to report STI-related symptoms. We concluded, therefore, that of low-tier FSWs, oral sex practitioners are more vulnerable to STI infection than those who do not practice oral sex.

It is well understood that the risk Prostitutes Xinzhou HIV infection and transmission during anal sex is significantly higher than during vaginal sex [ 37 — 39 ]. These FSWs might conduct both oral and anal sex with their clients because they are more obedient to client requests in order to secure a deal Prostitutes Xinzhou the Prostitutes Xinzhou trade, emphasizing that HIV prevention interventions should not ignore those practicing oral and anal intercourse to prevent HIV transmission.

Our study demonstrated that oral sex is a strong indicator of lower age of first instance of commercial sex, consistent with a previous Chinese study that oral sex practitioners are more likely to initiate sex at a younger age [ 17 ]. Sex initiation at a lower age has been confirmed to be related to having more sexual partners, having sex more frequently, diagnosis with Prostitutes Xinzhou STI, history of pregnancy, induced abortion, and less condom and oral contraceptive use, compared with late initiators [ 4041 ].

Early age of sex initiation is also a predictor of HIV infection among sex workers in the Chinese literature [ 42 ]. There is more evidence to support the above arguments. In this study, oral sex practitioners are related to less use of condoms or oral contraceptives during the previous month and contraception use. Oral sex practitioners are mostly at the reproductive age. These results indicate a relatively low awareness of reproductive health, and a large unmet need in this respect in this group of low-tier FSWs, underscoring the need to expand FSW-friendly reproductive health services in Zhejiang province.

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The structural interventions, such as increasing condom availability in sex trade establishments, distribution of condoms free Prostitutes Xinzhou charge Prostitutes Xinzhou outreach workers, accessible reproductive-health services, and provision of reproductive health education may improve their reproductive health outcomes.

Sixteen percent of oral sex practitioners had used condoms consistently during their commercial sex in the previous month versus However, our multivariate analysis indicates that oral sex practitioners did not increase their likelihood Prostitutes Xinzhou self-efficacy for condom use and risk perception for HIV and STI infection.

Low condom use is common among FSWs in China [ 16 ].

The behavioural interventions offered to this group of FSWs should include different components and should be delivered with some degree of intensity to promote the consistent use of condoms.

Only a small proportion of FSWs have access to condoms at their sex trade places [ Prostitutes Xinzhou ], with the majority of women having to buy condoms themselves [ 16 ].

Prostitutes Xinzhou of Prostitutes Xinzhou had had the experience of Prostitutes Xinzhou breakage or slippage during sex [ 16 ]. Their lack of negotiating power and fear of losing clients resulted in low Prostitutes Xinzhou use among Prostitutes Xinzhou [ 45 ]. Low-tier FSWs reported a lower rate of condom use than higher tier FSWs, perhaps driven by the desire for more clients and higher trade fees, and hampered by their limited ability to negotiate for safer sex Prostitutes Xinzhou [ 892946 ].

Therefore, comprehensive intervention with multiple components, including addressing the barriers to condom use mentioned above, should be carried out among oral sex practitioners of low-tier FSWs. Multiple session interventions may be required as the condom use is so low in this group, and multiple session intervention has Prostitutes Xinzhou found to be more effective than single session intervention for increasing condom use among FSWs [ 47 ]. We are not clear about the rate of condom use in oral sex, but could speculate that oral sex is much less protected than other sex practices.

Foreign studies have shown that oral sex among FSWs and their clients is less protected [ 1415 ]. One Chinese study revealed that Oral sex is also associated with more commercial clients in this study. These FSWs also place more clients at risk of infection once infected. This study offers new insights into the oral sex related factors among Chinese FSWs. Our study is subject to several limitations, however.

First, the cross-sectional nature of this study did not allow cause-and-effect relationships to be established between low-tier FSWs engaged in oral sex and risk behaviors. Second, we conducted this investigation in 21 counties during a limited time period, and the FSWs included in this study may have been more accessible and more willing to participate.

The results presented in this article may not be generalizable to the whole province or to China. Third, our findings may be limited by the validity of self-reported measures, as our questionnaire contained some sensitive sexual behavior questions [ 48 ], and social desirability may have resulted in over- or under-reporting of sexual behaviors.

Fourth, recall bias may occur to FSWs in our study, due to their education status and working environment, though we tried to interview them on sexual behaviors mainly in the previous month.

In conclusion, our study reported that low-tier FSWs who engaged in oral sex exhibited a profile of higher-risk behaviors such as early initiation of commercial sex, being more mobile, longer duration of sex work, more commercial clients, lower use of condoms and contraceptives, no use of contraception, and Prostitutes Xinzhou reported history of STI symptoms compared with other low-tier FSWs.

Prevention programs targeting low-tier FSWs working on streets, at hair salons, in roadside shops, Prostitutes Xinzhou in other venues should specifically target low-tier FSWs who practice oral sex, should carefully take into account the characteristics of these FSWs, provide risk Prostitutes Xinzhou education and training for condom Prostitutes Xinzhou negotiation, and promote the availability of condom and reproductive health care, timely diagnosis, and treatment of STIs.

The research sites were 21 counties in Zhejaing province, where the AIDS Care project, a pilot program initiated by the national Ministry of Health and the provincial Prostitutes Xinzhou of Health to support and promote HIV prevention policy-making, HIV-related education, behavioural interventions, Prostitutes Xinzhou and screening, antiretroviral treatments, and so on were implemented.

This study was one of these series of activities. Yiwu city, Longyou County, Kecheng District for their contributions in the field implementation of this study. The authors also thank the FSWs participants of this study for their time and willingness of information Prostitutes Xinzhou.

Browse Subject Areas? Click through the PLOS taxonomy to find articles in your field. Abstract Objectives Oral sex and its associated factors among low-tier female sex workers FSWs have not been documented in the Chinese Prostitutes Xinzhou.

Methods The data were derived from a large cross-sectional Prostitutes Xinzhou conducted among low-tier FSWs using a structured questionnaire in 21 counties in Prostitutes Xinzhou province, China. Results Of all participants, Prostitutes Xinzhou Funding: The author s received no specific funding for this work.

Introduction Female sexual workers FSWs are a high-risk population for human immunodeficiency HIV infections, and require intervention compared to the general female population. Materials and methods Location and participants The participants in this study came from a large cross-sectional study conducted in 21 counties that implemented the AIDS Care project in Zhejiang Province, from September to November Questionnaire development and measures The questionnaire used Prostitutes Xinzhou this study was developed based on instruments used for HIV sentinel surveillance among FSWs and reviews of domestic and foreign literature regarding low-tier FSWs; it was then revised once more through repeated discussions within the research team and consultation with the staff of the CDCs who were responsible for behavioral interventions with FSWs in the Prostitutes Xinzhou studied.

Results Sociodemographic characteristics The Prostitutes Xinzhou characteristics of the oral-sex group and non-oral sex group are described in Table 1. Download: PPT. Table 1. Table 2. Table 3. Discussion To the best of our knowledge, this study is the first research of its kind to examine factors associated with oral sex among low-tier FSWs in China. Conclusion In conclusion, our study reported that low-tier FSWs who engaged in oral sex exhibited a profile of higher-risk behaviors such as early initiation of commercial sex, being more mobile, longer duration of sex work, more commercial clients, lower use of condoms and contraceptives, no use of contraception, and a reported history of STI symptoms compared with other low-tier FSWs.

Acknowledgments The Prostitutes Xinzhou sites were 21 counties in Zhejaing province, where the AIDS Care project, a pilot program initiated by the national Ministry of Health and the provincial Bureau of Health to support and promote HIV prevention policy-making, HIV-related education, behavioural interventions, counselling and screening, Prostitutes Xinzhou treatments, and so on were implemented.

References 1. Burden of HIV among female sex workers in low-income and middle-income countries: a systematic review and meta-analysis. Lancet Infect Dis.

Review of HIV and other sexually transmitted infections among female sex workers in China. AIDS Care. Medicine Prostitutes Xinzhou. Sex Transm Infect. An expanding syphilis epidemic in China: epidemiology, behavioural risk and control strategies with a focus on low-tier female sex workers and men who have sex with men.

Consistent condom use and its correlates among female sex workers at hair salons: a cross-sectional study in Zhejiang province, China. Analysis on condom use negotiation with sex partners and condom use in female sex workers. Chin J Epidemiol, Jul; — J Acquir Immune Defic Syndr. Progress of research on influencing factors of condom use among female sex workers. Chin J Epidemiol. Wang H, Chen RY.

High prevalence of HIV and syphilis and associated factors among low-fee Prostitutes Xinzhou sex workers in mainland China: a cross-sectional study. BMC Infect Dis. A community-based comprehensive intervention to reduce syphilis infection among low-fee female Prostitutes Xinzhou workers in China: a matched-pair, community-based randomized study. Infect Dis Poverty. Milrod C, Monto M. Arch Sex Behav.

Oral sex practices, oral human papillomavirus and correlations between Prostitutes Xinzhou and cervical human papillomavirus prevalence among female sex workers in Lima, Peru. BMC Public Health.

Prostitutes Xinzhou data were derived from a large cross-sectional study conducted among low-tier FSWs using a structured questionnaire in 21 counties in Zhejiang province, China. The prevalence of oral sex and its associated Prostitutes Xinzhou among low-tier FSWs were analyzed Prostitutes Xinzhou bivariate and multivariate analysis.

Of all participants, Multivariate analysis revealed that oral sex is related to being unmarried, low income, early initiation of commercial sex, having conducted commercial sex in more counties, longer duration of commercial sex, larger number of clients, ever having engaged in anal sex, less use of condoms and oral contraceptives during the previous month, low rate of adoption Prostitutes Xinzhou contraception at the present time, Prostitutes Xinzhou STI-related symptoms during the previous half year.

Behavioral interventions carried out among low-tier FSWs should specifically target low-tier FSWs who practice Prostitutes Xinzhou sex, should carefully take into account the characteristics of these FSWs, provide risk Prostitutes Xinzhou education and training for condom use negotiation, and promote the availability of condom and reproductive health care, timely Prostitutes Xinzhou, and treatment of STIs.

Female sexual workers FSWs are a high-risk population for human immunodeficiency HIV infections, and require intervention Prostitutes Xinzhou to the general female population.

In terms of working place, FSWs can be categorized into low- middle- Prostitutes Xinzhou high-tier levels based on their different socio-economic levels, types of client, price charged, etc.

To earn more money, low-tier FSWs must conduct sex with more clients, and provide Prostitutes Xinzhou sexual services [ 67 ]. Moreover, condom use negotiation with clients is difficult for this group, resulting in less condom use among low-tier FSWs [ 89 ]. One Chinese study documented that Some studies have also reported the prevalence of oral sex among common Chinese people. For example, a study in Guangzhou reported that The prevalence of Prostitutes Xinzhou sex is increasing among Chinese people, with the rate for fellatio at The rate of oral sex ever practiced by sexually active college students [ 20 ] and male college graduates [ 21 ] is Although oral sex has been considered lower HIV-risk sexual behavior compared to vaginal and anal sexual behavior, evidence has shown that unprotected oral sex could be a route for HIV infection Prostitutes Xinzhou 2223 ], as well as STI infection, such as HPV, HSV, gonorrhea, syphilis, Chlamydia trachomatis, chancroid, and Neisseria meningitidis [ 24 — 27 ].

Chinese studies Prostitutes Xinzhou exhibited that oral Prostitutes Xinzhou is an important marker for a profile of high-risk sexual behavior. Those who practiced oral sex versus those who did not among heterosexual STD clinic attendees were more likely to initiate sex early, to have multiple sexual partners, and to conduct more frequent sex [ 17 ].

Oral sex practitioners among male college graduates have more sexual partners, more casual sexual partners, more sexual partners from other Prostitutes Xinzhou, and from Prostitutes Xinzhou, and use condoms less than those who do not practice oral sex [ 21 ].

Therefore, it is important to investigate Prostitutes Xinzhou sex and related factors among low-tier FSWs, to Prostitutes Xinzhou understand and create targeted intervention for this population. The participants in this study came from a Prostitutes Xinzhou cross-sectional study conducted in 21 counties that implemented the AIDS Care project in Zhejiang Province, from September to November The research method and a brief introduction to Zhejiang province and the AIDS Care project have already been introduced elsewhere [ 6 ].

All the counties participating in this study conducted a survey to confirm the location of low-tier FSWs in their area and then developed Prostitutes Xinzhou plan to complete this study.

In total, low-tier FSWs participated. The interviews were conducted in a private, quiet space within the venues. The staff of Prostitutes Xinzhou centers for disease control Prostitutes Xinzhou prevention CDCswho were trained by Prostitutes Xinzhou teams prior to the study, interviewed the participants using an anonymous questionnaire.

The study protocol including consent procedure was Prostitutes Xinzhou by the ethics committee of Zhejiang provincial center for disease prevention and control. The questionnaire used in this study was developed based on instruments used for HIV sentinel surveillance among FSWs and reviews of domestic and foreign literature Prostitutes Xinzhou low-tier FSWs; it was then revised once more through repeated discussions within the research team and consultation with the staff of the CDCs who were responsible for behavioral interventions with FSWs in the counties studied.

Finally, the questionnaire Prostitutes Xinzhou modified through two pilot surveys with low-tier FSWs in two counties. Self-reported oral sex with commercial clients during the previous one month was used as a dependent variable in the analysis. The scale measuring self-efficacy regarding condom use consisted of three statements addressing whether a participant could persuade a client to use a condom when a client refused to do so during a sexual encounter, whether she could refuse sex when a client refused to use a condom, and whether she could insist on using Prostitutes Xinzhou condom with clients Prostitutes Xinzhou time.

The prevalence of self-reported oral sex and the frequency distributions of the independent variables were determined using bivariate analysis. Variables identified as significantly associated with self-reported oral sex in the bivariate analyses were then entered into the logistic regression model to determine the independent contribution of each Prostitutes Xinzhou to predicting self-reported oral sex.

Chi-square analysis was used to compare the difference between those who performed oral sex and those who did not. A P -value of less than 0. The sociodemographic characteristics of the oral-sex group and non-oral sex group are described in Table 1. In total, of the participants, Overall, Regarding education, In terms of financial status, The working venues for respondents were the street In total, participants Of those who had performed oral Prostitutes Xinzhou in this time period, Having seen a doctor during the previous six months was not associated with experience of oral sex.

To the best Prostitutes Xinzhou our knowledge, this study is the first research of its kind to examine Prostitutes Xinzhou associated with oral sex among low-tier FSWs in China. We reported that the prevalence of oral sex practiced by low-tier FSWs in this study was Since we only measured this prevalence during the previous month, we Prostitutes Xinzhou not able to compare this result with overseas FSWs [ 1415 ] or those in China [ 16 ], nor could we compare these data with those of common Chinese people [ 1819 ], since previous studies have all used measures based on lifetime prevalence.

However, we believe that the relatively large sample size and relatively high prevalence of oral sex during the previous month among our participants could guarantee the generalizability of our study findings, and the comparability between the results of this study and other related literature.

Another reason for the incomparability of the prevalence of oral sex between this study and other related studies is that these studies were conducted in different years following a revolution in sexual practices in China sinceand the subsequent dramatic increase in sexual behaviors traditionally adopted by few common people in China, such as oral and anal sex [ 19 ].

We speculate that the Prostitutes Xinzhou of oral sex among FSWs might also have increased quickly due to this trend in these years. The Prostitutes Xinzhou rise in prevalence of oral sex among FSWs, with a concomitant increase in pharyngeal gonorrhea, has been reported in Singapore [ 28 ], pointing to the importance of this study.

Our study found that 2. The income of those low-tier FSWs who practice oral sex is lower than those not performing oral sex in our study, implying that the economic situation of oral sex practitioners might be worse than that of other low-tier FSWs.

FSWs were highly mobile, with reasons for changing residence and working locations most commonly related to increasing income. FSWs working in higher risk venues where they charge less have many characteristics in common with HIV positive and drug using FSWs, who have been found to be more mobile than those from other establishments [ 11 ].

Our results indicate a significant association between occurrence of oral sex and longer duration of Prostitutes Xinzhou work. Prolonged length of sex work might increase the likelihood of oral sex; however, longer duration of sex work is an independent risk factor for STIs [ 32 ] and HIV infection [ 33 ].

We further compare the difference between those FSWs who engaged in commercial sex for 1—12 months and Prostitutes Xinzhou who have practiced for over 12 months, and found that FSWs who had been engaged in sex work for a long duration were more likely to have had over 15 sexual clients We found that those who practiced oral sex were Prostitutes Xinzhou likely to report ever having been diagnosed with an STI among FSWs who had seen a doctor during the previous half year in the bivariate analysis.

This study provides further evidence that oral sex practitioners are more likely to report STI-related symptoms. We concluded, Prostitutes Xinzhou, that of low-tier FSWs, oral sex practitioners are more vulnerable to STI infection than those who do not practice oral sex. Prostitutes Xinzhou is well understood that the risk of HIV infection and Prostitutes Xinzhou during anal sex is significantly higher than during vaginal sex Prostitutes Xinzhou 37 — 39 ].

These FSWs might conduct both oral and anal sex Prostitutes Xinzhou their clients because they are more obedient to client requests in order to secure a Prostitutes Xinzhou in the sex trade, emphasizing that HIV prevention interventions should not ignore those practicing oral and anal intercourse to prevent HIV transmission. Our study demonstrated that oral sex is a strong indicator of lower age of first instance of commercial sex, consistent with a previous Chinese study that oral sex practitioners are more likely to initiate sex at a younger age [ 17 ].

Sex initiation at a lower age has been confirmed to be related to having more sexual partners, having sex more frequently, diagnosis with an STI, history of pregnancy, induced abortion, and less condom and oral contraceptive use, compared Prostitutes Xinzhou late initiators [ 4041 ]. Early age of sex initiation is also a predictor of HIV infection among sex workers in the Chinese literature [ 42 ].

Phone numbers of Girls Xinzhou The majority of clients of sex workers in Xinzhou are men looking for sex with women.. Find Whores in Xinzhou,China. Phone numbers of Prostitutes Xinzhou China And it's not because they have no other places to spend their family weekends — there are hundreds of kilometres.

There is more evidence to support the above arguments. In this Prostitutes Xinzhou, oral sex practitioners are related to less use of condoms or oral contraceptives during the previous month and contraception use.

Oral sex practitioners are mostly at the reproductive age. These results indicate a relatively low awareness of reproductive health, and a large unmet need in this respect in this group of low-tier FSWs, underscoring the need to expand FSW-friendly reproductive health services in Zhejiang province. The structural interventions, such as increasing condom availability in sex trade establishments, distribution of condoms free of charge by outreach workers, accessible reproductive-health services, and provision of reproductive health education may improve their reproductive health outcomes.

Sixteen percent of oral sex practitioners had used condoms consistently during their commercial sex in the previous month versus However, our multivariate analysis indicates that oral sex practitioners did not increase their likelihood of self-efficacy for condom use and risk perception for HIV and STI infection.

Low condom use is common among FSWs in China [ 16 ]. Only a small proportion of FSWs have access to condoms at their Prostitutes Xinzhou trade Prostitutes Xinzhou [ 44 ], with the majority of women having to buy condoms themselves [ 16 ]. Half of FSWs had had the experience of condom breakage or slippage during sex [ 16 ]. Their lack Prostitutes Xinzhou negotiating power and fear of losing Prostitutes Xinzhou resulted in low condom use among FSWs [ 45 ].

Low-tier FSWs reported a lower rate of condom use than higher tier FSWs, perhaps driven by the desire for more clients and higher trade fees, and hampered by their limited ability to negotiate for safer sex practices [ 892946 ]. Therefore, comprehensive intervention with multiple components, including addressing Prostitutes Xinzhou barriers to condom use mentioned above, should be carried out among oral sex practitioners of low-tier FSWs.

Multiple session interventions may be required as the condom use is so low in this group, and multiple session intervention has been Prostitutes Xinzhou to be more effective than single session intervention for increasing condom use among FSWs [ 47 ]. We are not clear about the rate of condom Prostitutes Xinzhou in oral sex, but could speculate that oral sex is much less protected than other sex practices.

Foreign studies have shown that oral sex among FSWs and their clients is less protected [ 1415 ]. One Chinese study revealed that Oral sex is also associated with more commercial clients in this study. These Prostitutes Xinzhou also place more clients at risk of infection once infected. This study offers new insights into the oral sex related factors among Chinese FSWs. Prostitutes Xinzhou study is subject to several limitations, however.

First, the cross-sectional nature of this study did not allow cause-and-effect relationships to be Prostitutes Xinzhou between low-tier FSWs engaged in oral sex and risk behaviors. Second, we conducted this investigation in 21 counties during a limited time period, and the FSWs included in this study may have been more accessible and more Prostitutes Xinzhou to participate.

The results presented in this article may not be generalizable Prostitutes Xinzhou the whole province or to China. Third, our findings may be limited by the validity of self-reported measures, as our questionnaire contained some sensitive sexual behavior questions [ 48 ], and social desirability may have resulted in over- or under-reporting of sexual behaviors.

Fourth, recall bias Prostitutes Xinzhou occur to FSWs in our study, due to their education status and working environment, though we tried to interview them on sexual behaviors mainly in the previous month. In conclusion, our study reported that low-tier FSWs who engaged in oral sex exhibited a profile of higher-risk behaviors such as early initiation of commercial sex, being more mobile, longer duration Prostitutes Xinzhou sex work, more commercial clients, lower use Prostitutes Xinzhou condoms and contraceptives, no use of contraception, and a reported history of STI symptoms compared with other low-tier FSWs.

Prevention programs targeting low-tier FSWs working on streets, at hair salons, in roadside shops, and in other venues should Prostitutes Xinzhou target low-tier FSWs who Prostitutes Xinzhou oral sex, should carefully take into account the characteristics of these FSWs, provide risk awareness education and training for condom use negotiation, and promote the availability of condom and reproductive health care, timely diagnosis, and treatment of STIs.

The research sites were Prostitutes Xinzhou counties in Zhejaing province, where the AIDS Care project, a pilot program initiated by the national Ministry of Health and the provincial Bureau of Health to support and promote HIV prevention policy-making, HIV-related education, Prostitutes Xinzhou interventions, counselling and screening, antiretroviral treatments, and so on were implemented.

This study was Prostitutes Xinzhou of these series of activities. Yiwu Prostitutes Xinzhou, Longyou County, Kecheng District for their contributions in the field implementation of this study. The authors also thank Prostitutes Xinzhou FSWs participants of Prostitutes Xinzhou study for their time and willingness of information sharing.

National Center for Biotechnology InformationU. Prostitutes Xinzhou One. Published online Sep 8.

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Andrew R. Dalby, Editor. Author information Article notes Copyright and License information Disclaimer. Competing Interests: The authors have declared that no competing interests exist.

Received Mar 29; Accepted Aug This Prostitutes Xinzhou an open access article distributed under the terms of the Creative Commons Attribution Licensewhich permits unrestricted use, Prostitutes Xinzhou, and reproduction in any medium, provided the original author and source are credited.

Phone numbers of Prostitutes Xinzhou China And it's not because they have no other places to spend their family weekends — there are hundreds of kilometres. Phone numbers of Girls Xinzhou The majority of clients of sex workers in Xinzhou are men looking for sex with women.. Find Whores in Xinzhou,China.

Associated Data Data Availability Statement Data are available from the Ethics Committee of Zhejiang provincial center for disease prevention and control for researchers who meet the criteria for access to confidential data.

Abstract Objectives Oral sex and its associated factors among low-tier female sex workers FSWs have not been documented in the Chinese literature. Methods Prostitutes Xinzhou data were derived from a large cross-sectional study conducted among low-tier FSWs using a structured questionnaire in 21 counties in Zhejiang province, China. Results Of all participants, Introduction Female sexual workers FSWs are a high-risk population for human immunodeficiency HIV infections, and require intervention compared to the general female population.

Materials and methods Location and participants The participants in this study came from a large cross-sectional study conducted in 21 Prostitutes Xinzhou that implemented the AIDS Care project Prostitutes Xinzhou Zhejiang Province, from September Prostitutes Xinzhou November Questionnaire development and measures The questionnaire used in this study was developed based on instruments used for HIV sentinel surveillance among FSWs and reviews of domestic and foreign literature regarding low-tier FSWs; it was Prostitutes Xinzhou revised once more through repeated discussions within the research team and consultation with the staff of the CDCs who were responsible for behavioral interventions with FSWs in the counties studied.

Results Sociodemographic characteristics The sociodemographic characteristics of the oral-sex group and non-oral sex group are described in Table 1.

Finally, the questionnaire was modified through two pilot surveys with low-tier FSWs in two counties.

Open in a separate window. Table 4 Prostitutes Xinzhou analysis for association of oral sex. Prostitutes Xinzhou To the best of our knowledge, this study is the first research of its kind to examine factors associated with oral sex among low-tier FSWs in China.

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Conclusion In conclusion, our study reported that low-tier FSWs who engaged in oral sex exhibited a profile of higher-risk Prostitutes Xinzhou such as early initiation of commercial sex, being more mobile, longer duration of sex Prostitutes Xinzhou, more commercial clients, lower use of condoms and contraceptives, no use of contraception, and a reported history of STI symptoms compared with other low-tier FSWs.

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AIDS-related knowledge, attitude and high risk sexual behavior of medical students in higher vocational college. The questionnaire used in this study was based on instruments used for HIV sentinel surveillance among FSWs and reviews of domestic and foreign literature regarding low-tier FSWs; it was then revised again through repeated discussions with the research team and consultation with the staff of the CDCs who were responsible for behavioural interventions with FSWs in the counties studied. We are not clear about the rate of condom use in oral sex, but could speculate that oral sex is much less protected than other sex practices.
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Previous studies among Prostitutes Xinzhou FSWs Prostitutes Xinzhou that peer education [ 2325 ], free condoms and educational materials [ 24 ], and behavioural interventions [ 23 ] were protective factors leading to Prostitutes Xinzhou use. External link. Download: PPT. Sixteen percent of oral sex practitioners had used condoms consistently during their commercial sex in the previous month versus Jan-Feb; 19 : 54— The HIV prevalences among FSWs from high- middle- and low-tier venues nationwide have been found to differ substantially, at 0.
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